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Shadi Al Khatib, M.D.

Pediatrics in Oxnard, CA. Individual provider (NPI-1).

NPI number1386901593
StatusActive
Last updated in NPPESFeb 22, 2017

Details

NPI
1386901593
Entity type
Individual (NPI-1)
Name
Shadi Al Khatib
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 12, 2012
Last updated
Feb 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics117754CAYes

Practice location

450 W Clara St
Oxnard, CA 93033-8363

Phone 805-488-0210 · Fax 805-488-0510

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092

Phone 805-673-3930 · Fax 805-659-3217

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